Individual
ANTHONY NIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10898 BAYMEADOWS RD STE 300, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32256-5838
(904) 363-2733
(904) 363-3484
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME71438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00092786
RR MEDICARE
FL
Enumeration date
02/03/2006
Last updated
12/19/2018
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